I new him 10-12 years. And to-day I found he's totally worse. I was waiting 45 min since nuirse asked me for the blood work. And another 90 min was waiting for him. But Dr. Gelfand didn't show up. He used to be busy with his super friends and some people he got involved in busyness too. So I left his office and NOBODY used to ask or stop me at the front desk because there were nobody too. It's the second time I'm getting a very poor service from the CMC in 2012. And I'm sure it's a BIG signal to all of us - Vlad. Gelfand Is loosing his skills. He is too tired and has NO actuall time to work with us on his office CMC. Personally I will miss him. But it's time to switch to some one else. Having HBP dayly 160-200 to 100-120 I should find somebody else to help me with HBP. My personal experience showed for a 10-12 years,- V. Gelfand MD couldn't help me and he got no any glue where to go futhere.Once again I would say he is tired and l should stop using Him as a Primary Phisician MD. IKL